Individual
JESSICA CORROO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
122 E OLIN AVE STE 275, MADISON, WI 53713-1475
(608) 438-9362
Mailing address
600 HIGHLAND AVE, MADISON, WI 53792-2424
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16148-132
WI
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
5948-125
WI
Other
Enumeration date
07/15/2019
Last updated
03/27/2024
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